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Sobreindicación de resonancia de columna en los pacientes ingresados por consulta externa al servicio de cirugía de columna del hospital militar central
dc.contributor.advisor | Matta, Javier | |
dc.contributor.author | Ojeda, Daniel Fernando | |
dc.contributor.other | Arrieta, Victor | |
dc.contributor.other | Florez, David | |
dc.coverage.spatial | Hospital Militar Central | spa |
dc.coverage.temporal | abril de 2019 a diciembre de 2019 | spa |
dc.date.accessioned | 2021-01-20T15:37:51Z | |
dc.date.available | 2021-01-20T15:37:51Z | |
dc.date.issued | 2020-12-09 | |
dc.identifier.uri | http://hdl.handle.net/10654/37389 | |
dc.description.abstract | Introduccion: La resonancia es un método de diagnóstico útil, pero probablemente sobreutilizado y genera altos gastos al sistema de salud. Objetivo: determinar si existe Sobreindicacion en la realización de resonancias de columna en los pacientes que consultan al servicio de ortopedia de columna por consulta externa del hospital militar central. Métodos: se realizará un estudio descriptivo de corte transversal con revision de historias clinicas digitales de los pacientes atendidos en el servicio de ortopedia de columna entre abril de 2019 y diciembre de 2019. Los datos se extraen directamente de la historia Clínica del paciente y de entrevista al paciente diligenciando un formato predeterminado en Google, no habrá ningún tipo de intervención. plan de análisis: se tomará el número total de pacientes atendidos, y el número total de pacientes a quienes se les realizo resonancia y de estos, se analizarán cuantos cumplían con las indicaciones para la toma de la prueba diagnostica concluyendo si presenta o no sobreindicacion, se determinara el porcentaje con respecto al total de resonancias solicitadas. Resultados: se recolectaron 203 pacientes, de los caules en 164 (66%) se identifico que no tenian criterios para la solicitud de resonancia. Conclusiones: el porcentaje de sobreindicacion de resonancia en la muestra analisada es superior al 60% generando esto un dato muy importante dado que nos hace ver la cantidad de estudios innecesarios que se estan realizando y por ende el alto costo para el sistema de salud. Palabras clave: sobreindicacion, resonancia de columna, banderas rojas | spa |
dc.format.mimetype | applicaction/pdf | spa |
dc.language.iso | spa | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.title | Sobreindicación de resonancia de columna en los pacientes ingresados por consulta externa al servicio de cirugía de columna del hospital militar central | spa |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
dc.type.local | Tesis/Trabajo de grado - Monografía - Especialización | spa |
dc.description.abstractenglish | Introduction: MRI is a useful diagnostic method, but probably overused and generates high costs for the health system. Objective: to determine if there is an Overindication in performing spinal resonances in patients who consult the spinal orthopedic service for outpatient consultation at the central military hospital. Methods: a descriptive cross-sectional study will be carried out with a review of the digital medical records of the patients treated in the spinal orthopedic service between April 2019 and December 2019. The data is extracted directly from the patient's medical record and from the interview to the patient filling in a predetermined format in Google, there will be no type of intervention. Analysis plan: the total number of patients seen will be taken, and the total number of patients who underwent MRI and of these, how many complied with the indications for taking the diagnostic test will be analyzed, concluding whether or not there is an overindication. the percentage with respect to the total of resonances requested will be determined. Results: 203 patients were collected, of the caules in 164 (66%) it was identified that they did not have criteria for requesting MRI. Conclusions: the percentage of overindication of resonance in the analyzed sample is higher than 60%, generating this a very important data since it makes us see the amount of unnecessary studies that are being carried out and therefore the high cost for the health system. Keywords: overindication, spinal resonance, red flags | spa |
dc.title.translated | Spinal resonance overindication in patients admitted for outpatient consultation to the spine surgery service of the central military hospital | spa |
dc.subject.keywords | Over-indication | spa |
dc.subject.keywords | Spinal Resonance | spa |
dc.subject.keywords | Red flags | spa |
dc.subject.keywords | Column resonance | spa |
dc.publisher.program | Cirugía de Columna Vertebral, Pelvis y Acetábulo | spa |
dc.creator.degreename | Especialista en Cirugía de Columna Vertebral, Pelvis y Acetábulo | spa |
dc.subject.decs | Columna vertebral - Cirugía | spa |
dc.subject.decs | Ortopedia | spa |
dc.subject.decs | Resonancia magnética | spa |
dc.subject.decs | Dolor lumbar | spa |
dc.description.degreelevel | Especialización | spa |
dc.publisher.faculty | repourl:https://repository.unimilitar.edu.co | spa |
dc.type.driver | info:eu-repo/semantics/bachelorThesis | spa |
dc.rights.creativecommons | Attribution-NonCommercial-NoDerivatives 4.0 International | spa |
dc.relation.references | 1. Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):769–81. | spa |
dc.relation.references | 2. McCullough BJ, Johnson GR, Martin BI, Jarvik JG. Lumbar MR imaging and reporting epidemiology: do epidemiologic data in reports affect clinical management? Radiology. 2012 Mar;262(3):941–6. | spa |
dc.relation.references | 3. Jarvik JG, Hollingworth W, Martin B, Emerson SS, Gray DT, Overman S, et al. Rapid magnetic resonance imaging vs radiographs for patients with low back pain: a randomized controlled trial. JAMA. 2003 Jun 4;289(21):2810–8. | spa |
dc.relation.references | 4. Boden SD, Davis DO, Dina TS, Patronas NJ, Wiesel SW. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am. 1990 Mar;72(3):403–8. | spa |
dc.relation.references | 5. Jensen MC, Brant-Zawadzki MN, Obuchowski N, Modic MT, Malkasian D, Ross JS. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. 1994 Jul 14;331(2):69–73. | spa |
dc.relation.references | 6. Modic MT, Obuchowski NA, Ross JS, Brant-Zawadzki MN, Grooff PN, Mazanec DJ, et al. Acute low back pain and radiculopathy: MR imaging findings and their prognostic role and effect on outcome. Radiology. 2005 Nov;237(2):597–604. | spa |
dc.relation.references | 7. Jenkins HJ, Hancock MJ, Maher CG, French SD, Magnussen JS. Understanding patient beliefs regarding the use of imaging in the management of low back pain. Eur J Pain Lond Engl. 2016 Apr;20(4):573–80. | spa |
dc.relation.references | 8. Deyo RA, Mirza SK, Turner JA, Martin BI. Overtreating chronic back pain: time to back off? J Am Board Fam Med JABFM. 2009 Feb;22(1):62– | spa |
dc.subject.proposal | Sobreindicación | spa |
dc.subject.proposal | Banderas rojas | spa |
dc.subject.proposal | Resonancia de columna | spa |
dc.subject.proposal | Resonancia espinal | spa |
dc.publisher.grantor | Universidad Militar Nueva Granada | spa |
dc.type.coar | http://purl.org/coar/resource_type/c_7a1f | * |
dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | spa |
dc.identifier.instname | instname:Universidad Militar Nueva Granada | spa |
dc.identifier.reponame | reponame:Repositorio Institucional Universidad Militar Nueva Granada | spa |
dc.identifier.repourl | repourl:https://repository.unimilitar.edu.co | spa |
dc.rights.local | Acceso abierto | spa |
dc.coverage.sede | Medicina | spa |
dc.rights.coar | http://purl.org/coar/access_right/c_abf2 |